Sweet Bee Venom Pharmacopuncture for Chemotherapy-Induced
Peripheral Neuropathy
J Acupunct Meridian Stud, 2012 Aug;5(4):156-65
INTRODUCTION:
Chemotherapy-induced peripheral neuropathy (CIPN) is sensory
and motor nerve damage to the peripheral nervous system caused by
chemotherapeutic agents. It often causes pain and other varying degrees of
neuropathic symptoms accompanied by functional limitations and reduced quality
of life. Currently, there is no standard treatment protocol for the treatment
of CIPN.
OBJECTIVE:
In need of more research to develop new therapeutic options
focusing on their safety, efficacy, and long-term sustained clinical effects, a
pilot study of sweet bee venom pharmacopuncture (SBVP) for CIPN was conducted
to build up preliminary efficacy data in the process of preparing for a future
larger scale randomized controlled SBVP trial for CIPN.
METHODS:
We conducted a prospective case series by analyzing the
clinical observations made of CIPN patients treated with SBVP. A total of 11
eligible consecutive CIPN patients who visited East-West Cancer Center from
June 1, 2010, to February 28, 2011, were treated with total of six SBVP
treatments given within the 3-week period. The outcomes were measured using
World Health Organization Common Toxicity Criteria for Peripheral neuropathy
(WHO grading system), Patient Neurotoxicity Questionnaire (PNQ), Visual
Analogue System (VAS), and Health-Related Quality of Life (HRQOL) collected at
the baseline, post-second, fourth, and the final treatment. Patients were
followed 3 weeks into no intervention to determine the sustained effects of
pharmacopuncture.
RESULTS:
Both of the WHO CIPN grade and PNQ scores have shown a
decrease in the level of neuropathy. VAS pain level has also shown a great
decrease and improvement in patients' quality of life have also been detected
though modest. Changes in WHO grade, VAS and Total HRQOL scores between the
baseline and after the last treatment session were significant. Changes in WHO
grade, Total PNQ, PNQ-sensory, VAS, Total HRQOL, and HRQOL-functional scores
between the baseline and the 3-week follow-up were significant.
CONCLUSION:
The positive result of the study supports the potential
value of conducting a fully powered trial to explore further efficacy of SBVP
for CIPN. However a single positive result within this pilot study must be
interpreted with caution.
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